Mr Bryan Granger, LPC | |
5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 | |
(313) 317-2000 | |
(313) 317-2090 |
Full Name | Mr Bryan Granger |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 5500 Auto Club Dr Ste 350, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073974234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401014325 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517 |
Mailing Address | Practice Location Address |
---|---|
Mr Bryan Granger, LPC 5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 Ph: (313) 317-2000 | Mr Bryan Granger, LPC 5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 Ph: (313) 317-2000 |
Rajah Ismail, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6450 Maple St, Dearborn, MI 48126 Phone: 313-216-2200 Fax: 313-584-3622 | |
Mrs. Nneka Jean Owens, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22190 Garrison St, Suite 204, Dearborn, MI 48124 Phone: 313-769-5705 Fax: 313-769-6008 | |
Mr. John Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5075 Argyle St, Dearborn, MI 48126 Phone: 313-909-9390 | |
Mrs. Lisa Michelle Green, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Mr. Jeffrey Wallace Spier, M.A., L.L.P., CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 23400 Michigan Ave, Suite 702, Dearborn, MI 48124 Phone: 313-274-7010 Fax: 313-274-3010 | |
Cherie Ann Stangis, LLP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2941 S Gulley Rd, Dearborn, MI 48124 Phone: 313-278-3040 |